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Prognostische Bedeutung der Operationsmorbidität in der Versorgung der koxalen Femurfraktur des betagten Menschen

  • J. Raunest
  • R. Engelmann
  • E. Derra
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

The Prognostic Significance of Operative Morbidity in the Treatment of Coxal Femur Fractures in Aged Patients

Summary

The influence of operative morbidity on clinical long-term results is evaluated in a prospective study employing a consecutive series of 120 patients (mean age, 82.5 ±4.7 years) with operatively treated fractures of the coxal femur. Perioperative complications which were observed in 37.5%, with a predominance of urinary tract infection (n = 26), bronchopneumonia (n = 16) and cardiac decompensation (p= 4), were significantly associated with a pertrochanteric fracture localization (p< 0.05), prolonged latency from trauma to surgery (p<0.01), and a prevalence of three and more internal diseases (p<0.01). At 1-year follow-up patients with a perioperative complication had a significantly worse performance scoring (p<0.01) than individuals with an unimpaired perioperative course. This leads to the conclusion that perioperative morbidity decisively influences functional outcome in the elderly patient.

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Literatur

  1. 1.
    Kaiser W, Gulielmos V, David T (1994) Zum klinischen Verlauf operativ versorgter htiftgelenkna­her Femurfrakturen in der geriatrischen Chirurgie. Unfallchir 20: 30CrossRefGoogle Scholar
  2. 2.
    Mullen JO, Mullen LN (1992) Hip fracture mortality. Clin Orthop 280: 214PubMedGoogle Scholar
  3. 3.
    Weh L, Ramb FJ (1992) Functional Independence Measure Score als Pradikator des zu erwartenden Rehabilitationsergebnisses bei Patienten nach totalendoprothetischer Versorgung und nach apoplek- tischem Insult. Z Orthop 130:333PubMedCrossRefGoogle Scholar
  4. 4.
    Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: Treatment by mold arthroplasty. An end-result-study using a new method of result evaluation. J Bone Joint Surg 51-A:737Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • J. Raunest
    • 1
  • R. Engelmann
    • 1
  • E. Derra
    • 1
  1. 1.Abteilung für Allgemein- und UnfallchirurgieHeinrich-Heine-Universität DüsseldorfDüsseldorfDeutschland

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